Answer this question truthfully
### Question: Who is at highest risk for Streptococcus pneumoniae infection ?
### Response: Risk factors (conditions that increase your chances of getting pneumonia) include:
Cerebral palsy Chronic lung disease (COPD, bronchiectasis, cystic fibrosis) Cigarette smoking Difficulty swallowing (due to stroke, dementia, Parkinson's disease, or other neurological conditions) Immune system problem (See also: Pneumonia in immunocompromised host) Impaired consciousness (loss of brain function due to dementia, stroke, or other neurologic conditions) Living in a nursing facility Other serious illnesses, such as heart disease, liver cirrhosis, or diabetes mellitus Recent surgery or trauma Recent cold, laryngitis, or flu